Gene Synthesis Gene Synthesis Order Form Order Reference No: Purchase Order Number: Customer Details Contact Person Name: Institute Name: Email Address: City: State/Province: Zip/Pin Code: Country: Mobile Number: Address: Gene Synthesis Details 1. Sequence Information Gene Name: Origin of Gene: Sequence Type: ORF: DNA Sequence: Amino Acid Sequence: Sequence Length (bp): 2. Codon Optimization Codon Optimization: Expression Host: Optimization Start Position (bp): Optimization End Position (bp): Restriction Sites to Avoid: Restriction Sites to Keep: Restriction Sites to Include: 5' region (Enter the restriction site for): 3' region (Enter the restriction site for): Stop Codon: Stop Codon Sequence: 3. Cloning Details Vector: Cloning Site: Mention plasmid you would like to clone the gene: Enter your site like this - 5’-EcoRI ——NNNN—BamHI-3’ (N indicates gene): 4. Other Details Note: Please check your gene of interest for ORF, Restriction sites, cloning sites etc. before submitting. Reg. Office Address: No. 81/53, Nattal Garden, 2nd Street, Perambur, Chennai – 600011, Tamil Nadu, India. Email: info@immugenixbio.com Landline: +91-44-49797578 Mobile: +91-7530098251 CIN: U74999TN2018PTC121668 PAN: AAECI8128E GST: 33AAECI8128E1ZS Website: http://immugenixbio.com/